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大蒜片对子宫内膜异位症相关疼痛的影响:一项随机安慰剂对照临床试验。

The Effect of Garlic Tablets on the Endometriosis-Related Pains: A Randomized Placebo-Controlled Clinical Trial.

作者信息

Amirsalari Sudabeh, Behboodi Moghadam Zahra, Taghizadeh Ziba, Jafar Abadi Mina Naghi, Sabaghzadeh Irani Parichehr, Goodarzi Saied, Ranjbar Hadi

机构信息

Department of Reproductive Health Midwifery, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Vali-E-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Evid Based Complement Alternat Med. 2021 Jul 20;2021:5547058. doi: 10.1155/2021/5547058. eCollection 2021.

Abstract

Endometriosis is a common chronic inflammatory disease. Garlic contains components that have antiproliferative, anti-inflammatory, and antioxidative effects. The current study aimed to evaluate the effectiveness of garlic on endometriosis symptoms. This was a randomized placebo-controlled triple-blind clinical trial. A convenience sample of 60 women was randomly allocated into two groups. The intervention group received usual care supplemented with 400 mg garlic tablets, and the placebo group received identical placebo tablets. A four-part Visual Analogue Scale (VAS) was used to measure the severity of pains. The pains were measured on four occasions (before the intervention and on one-, two-, and three-month follow-ups). Data were analyzed using the -test, chi-square, repeated measures ANOVA, and ANCOVA by SPSS 16. The overall severity of pain reduced from 6.51 ± 0.86 to 1.83 ± 1.25 in the intervention group ( < 0.05). It increased from 6.41 ± 1.12 to 6.65 ± 1.37 in the control group ( = 0.02). The repeated measures ANOVA showed that there is a significant difference in the change of pain scores between intervention and control groups ( < 0.001, np2 = 0.572). Garlic extract can reduce pelvic and back pain, dysmenorrhea, and dyspareunia which are important symptoms of endometriosis.

摘要

子宫内膜异位症是一种常见的慢性炎症性疾病。大蒜含有具有抗增殖、抗炎和抗氧化作用的成分。本研究旨在评估大蒜对子宫内膜异位症症状的疗效。这是一项随机安慰剂对照三盲临床试验。将60名女性的便利样本随机分为两组。干预组在接受常规护理的同时补充400毫克大蒜片,安慰剂组则服用相同的安慰剂片。采用四分视觉模拟量表(VAS)测量疼痛严重程度。在四个时间点(干预前以及随访1个月、2个月和3个月时)测量疼痛情况。使用SPSS 16软件进行t检验、卡方检验、重复测量方差分析和协方差分析来分析数据。干预组疼痛的总体严重程度从6.51±0.86降至1.83±1.25(P<0.05)。对照组则从6.41±1.12升至6.65±1.37(P=0.02)。重复测量方差分析表明,干预组和对照组之间疼痛评分的变化存在显著差异(P<0.001,ηp2=0.572)。大蒜提取物可减轻盆腔和背部疼痛、痛经以及性交困难,这些都是子宫内膜异位症的重要症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74ce/8315864/824df16f04a6/ECAM2021-5547058.001.jpg

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